uworld2

Question 1

unsafe exercise in pregnancy?

Answer 1

contact sprts high fall risk, scuba diving, hot yoga

Question 2

absolute contraindications to exercise during preg

Answer 2

amniotic fluid leak
cervical incompetence
multiple gestation
placenta abruption/previa
premature labor
pre-eclampsia/gestational HTN
severe heart/lung diseaes

Question 3

IUFD + maternal labs?

Answer 3

chronic consumptive coagulopathy due to gradual release of tissue factor (thromboplastin) from the placenta into the maternal circulation

Question 4

signs of a consumptive coagulopathy

Answer 4

dec. platelet count

incr. PT/PTT

Question 5

pseudocyesis

Answer 5

woman presents w/ signs + symptoms of pregnancy + reported positive urine pregnancy test w/ a nL endometrial stripe

Question 6

tocolytic

Answer 6

beta-mimetics (terbutaline / ritodrine)
Mg
Calcium channel blockers

Question 7

sfx of beta-mimetics

Answer 7

DM2 / tachycardia

Question 8

post-partum hemorrhage drugs

Answer 8

prostaglandin Alpha-F

Question 9

what do you give for Mg overdose

Answer 9

Calcium carbonate

Question 10

sfx of nifedpine

Answer 10

late decels = urethroplacental sufficiency b/c of hypotension

Question 11

indomethicin causes

Answer 11

oligohydramnios = cord compression = variable decels

Question 12

measurement of lung maturity

Answer 12

lecithin-sphingomyeline > 2:1
phosphotidylglycerol from amnion fluid
expected to be mature at 32 wks

Question 13

what to give if concerned about premature labor?

Answer 13

17-hydroxyprogesterone

once a week

Question 14

risk factor for cervical insufficiency

Answer 14

prior gyn surgery (esp. LEEP/cone biopsy of the cervix)
prior obstetrical trauma
multiple gestation
Mullerian anomalies
hx of preterm birth / 2nd trimester pregnancy loss

Question 15

risk factors for placental abruption?

Answer 15

hx of maternal trauma
chronc HTN
maternal smoking
hx of external cephalic version

Question 16

what is anemia criteria?

Answer 16

<10.5 in 3rd trimester

Question 17

GFR during preg nL physiology

Answer 17

incr. GFR, dec. BUN, / Cr.

Question 18

what are heme changes in preg physio?

Answer 18

incr. in fibrinogen + coagulation

dec. in total protein S antigen & activity

Question 19

what aer pulm changes with preg physio?

Answer 19

chronic resp. alkalosis + metabolic compensation

Incr. PaO2 & dec. paCO2

Question 20

indications for cervical conization

Answer 20

CIN1-3
carcinoma - in - situ
cant exclude cancer after biopsy/colpo/ECC
no visualization of the transformation zone
discordance b/w pap + colpo
positive ECC

Question 21

indications for hospitalization + parenteral antibiotics for PID

Answer 21

high fever
failure to respond to oral antibiotics
inability to take oral meds due to nausea/vomiting
pregnancy
noncompliance

Question 22

hospitalization regiments for PID

Answer 22

cefoxitin OR
cefotetan/doxycycline
clindamycin/gentamycin (IV)

Question 23

how to eval adnexal mass?

Answer 23

transvag u/s + CA-125

Question 24

what are concerning signs for u/s?

Answer 24

mass > 10 cm
nodular/fixed pelvic mass
ascites
evidence of mets

Question 25

what is sfx of raloxifene?

Answer 25

incr. risk of venous thromboembolism

leg cramps / hot flashes

Question 26

what does tamoxifine incr. risk for?

Answer 26

endometrial cancer